Data / Rankings / Adult cigarette smoking rate, local model estimate / Counties in Ohio

Counties in Ohio by adult cigarette smoking rate, local model estimate

Vinton County had the highest adult cigarette smoking rate, local model estimate of 88 counties in 2022, at 26%. Delaware County had the lowest, at 12.2%. The median was 19.8%. Source: the Centers for Disease Control and Prevention.

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Highest26Vinton County
Lowest12.2Delaware County
Median19.888 counties

Map of counties, 2022

Adams County: 24.1 %Allen County: 21.5 %Ashland County: 20.4 %Ashtabula County: 20.7 %Athens County: 15.1 %Auglaize County: 17.9 %Belmont County: 21.8 %Brown County: 22.5 %Butler County: 18.6 %Carroll County: 23.4 %Champaign County: 19.2 %Clark County: 20.8 %Clermont County: 18.7 %Clinton County: 21.5 %Columbiana County: 21.6 %Coshocton County: 20.7 %Crawford County: 22.8 %Cuyahoga County: 16.6 %Darke County: 20.1 %Defiance County: 18.2 %Delaware County: 12.2 %Erie County: 15.1 %Fairfield County: 20.2 %Fayette County: 23.4 %Franklin County: 14.9 %Fulton County: 21.2 %Gallia County: 21.6 %Geauga County: 16.5 %Greene County: 14.5 %Guernsey County: 24.1 %Hamilton County: 17.9 %Hancock County: 16.3 %Hardin County: 24 %Harrison County: 20.8 %Henry County: 19.4 %Highland County: 23.2 %Hocking County: 25.3 %Holmes County: 25.7 %Huron County: 17.8 %Jackson County: 22.5 %Jefferson County: 19.3 %Knox County: 16 %Lake County: 16.6 %Lawrence County: 22.8 %Licking County: 19.4 %Logan County: 20.9 %Lorain County: 18.7 %Lucas County: 19 %Madison County: 22.2 %Mahoning County: 19.8 %Marion County: 21.6 %Medina County: 17 %Meigs County: 24.7 %Mercer County: 18.9 %Miami County: 16.1 %Monroe County: 22.7 %Montgomery County: 19 %Morgan County: 18.2 %Morrow County: 23.7 %Muskingum County: 19.2 %Noble County: 23.1 %Ottawa County: 16.4 %Paulding County: 21.7 %Perry County: 22.9 %Pickaway County: 18.9 %Pike County: 24.1 %Portage County: 15.8 %Preble County: 20.8 %Putnam County: 15.6 %Richland County: 18.2 %Ross County: 23.5 %Sandusky County: 20.1 %Scioto County: 22.5 %Seneca County: 20.8 %Shelby County: 19.6 %Stark County: 16.5 %Summit County: 16 %Trumbull County: 23 %Tuscarawas County: 22.7 %Union County: 14.1 %Van Wert County: 17.9 %Vinton County: 26 %Warren County: 13.9 %Washington County: 19.5 %Wayne County: 17.3 %Williams County: 19.8 %Wood County: 14.7 %Wyandot County: 16.9 %
  • Under 16
  • 16 to 19
  • 19 to 20
  • 20 to 22
  • 22 to 23
  • 23 and over
%, 2022. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Vinton County: 26 %Vinton County26Holmes County: 25.7 %Holmes County25.7Hocking County: 25.3 %Hocking County25.3Meigs County: 24.7 %Meigs County24.7Adams County: 24.1 %Adams County24.1Guernsey County: 24.1 %Guernsey County24.1Pike County: 24.1 %Pike County24.1Hardin County: 24 %Hardin County24Morrow County: 23.7 %Morrow County23.7Ross County: 23.5 %Ross County23.5Carroll County: 23.4 %Carroll County23.4Fayette County: 23.4 %Fayette County23.4Highland County: 23.2 %Highland County23.2Noble County: 23.1 %Noble County23.1Trumbull County: 23 %Trumbull County23Perry County: 22.9 %Perry County22.9Crawford County: 22.8 %Crawford County22.8Lawrence County: 22.8 %Lawrence County22.8Monroe County: 22.7 %Monroe County22.7Tuscarawas County: 22.7 %Tuscarawas County22.7Brown County: 22.5 %Brown County22.5Jackson County: 22.5 %Jackson County22.5Scioto County: 22.5 %Scioto County22.5Madison County: 22.2 %Madison County22.2Belmont County: 21.8 %Belmont County21.8Paulding County: 21.7 %Paulding County21.7Columbiana County: 21.6 %Columbiana County21.6Gallia County: 21.6 %Gallia County21.6Marion County: 21.6 %Marion County21.6Allen County: 21.5 %Allen County21.5Clinton County: 21.5 %Clinton County21.5Fulton County: 21.2 %Fulton County21.2Logan County: 20.9 %Logan County20.9Clark County: 20.8 %Clark County20.8Harrison County: 20.8 %Harrison County20.8Preble County: 20.8 %Preble County20.8Seneca County: 20.8 %Seneca County20.8Ashtabula County: 20.7 %Ashtabula County20.7Coshocton County: 20.7 %Coshocton County20.7Ashland County: 20.4 %Ashland County20.4Vinton County: 26 %Vinton County26Holmes County: 25.7 %Holmes County25.7Hocking County: 25.3 %Hocking County25.3Meigs County: 24.7 %Meigs County24.7Adams County: 24.1 %Adams County24.1Guernsey County: 24.1 %Guernsey County24.1Pike County: 24.1 %Pike County24.1Hardin County: 24 %Hardin County24Morrow County: 23.7 %Morrow County23.7Ross County: 23.5 %Ross County23.5Carroll County: 23.4 %Carroll County23.4Fayette County: 23.4 %Fayette County23.4Highland County: 23.2 %Highland County23.2Noble County: 23.1 %Noble County23.1Trumbull County: 23 %Trumbull County23Perry County: 22.9 %Perry County22.9Crawford County: 22.8 %Crawford County22.8Lawrence County: 22.8 %Lawrence County22.8Monroe County: 22.7 %Monroe County22.7Tuscarawas County: 22.7 %Tuscarawas County22.7Brown County: 22.5 %Brown County22.5Jackson County: 22.5 %Jackson County22.5Scioto County: 22.5 %Scioto County22.5Madison County: 22.2 %Madison County22.2Belmont County: 21.8 %Belmont County21.8Paulding County: 21.7 %Paulding County21.7Columbiana County: 21.6 %Columbiana County21.6Gallia County: 21.6 %Gallia County21.6Marion County: 21.6 %Marion County21.6Allen County: 21.5 %Allen County21.5Clinton County: 21.5 %Clinton County21.5Fulton County: 21.2 %Fulton County21.2Logan County: 20.9 %Logan County20.9Clark County: 20.8 %Clark County20.8Harrison County: 20.8 %Harrison County20.8Preble County: 20.8 %Preble County20.8Seneca County: 20.8 %Seneca County20.8Ashtabula County: 20.7 %Ashtabula County20.7Coshocton County: 20.7 %Coshocton County20.7Ashland County: 20.4 %Ashland County20.4
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Vinton County26-1.1 pts
2Holmes County25.70 pts
3Hocking County25.3+1.7 pts
4Meigs County24.7-1.9 pts
5Adams County24.10 pts
5Guernsey County24.1+1.1 pts
5Pike County24.1-2.3 pts
8Hardin County24+2.8 pts
9Morrow County23.7+2.6 pts
10Ross County23.5+0.7 pts
11Carroll County23.4+1.9 pts
11Fayette County23.4-0.4 pts
13Highland County23.2-0.7 pts
14Noble County23.1+0.7 pts
15Trumbull County23+1.6 pts
16Perry County22.9-1.2 pts
17Crawford County22.8+0.9 pts
17Lawrence County22.8-0.7 pts
19Monroe County22.7+0.5 pts
19Tuscarawas County22.7+1.1 pts
21Brown County22.5-1.2 pts
21Jackson County22.5-1.6 pts
21Scioto County22.5-4 pts
24Madison County22.2+1.4 pts
25Belmont County21.8+0.5 pts
26Paulding County21.7+0.6 pts
27Columbiana County21.6-0.1 pts
27Gallia County21.6-0.5 pts
27Marion County21.6-1.9 pts
30Allen County21.5+0.6 pts
30Clinton County21.5+0.5 pts
32Fulton County21.2+2.5 pts
33Logan County20.9+0.5 pts
34Clark County20.80 pts
34Harrison County20.8-1.3 pts
34Preble County20.8+0.9 pts
34Seneca County20.8+0.3 pts
38Ashtabula County20.7-5.2 pts
38Coshocton County20.7-3.3 pts
40Ashland County20.4+0.6 pts
41Fairfield County20.2+2.3 pts
42Darke County20.1-0.5 pts
42Sandusky County20.10 pts
44Mahoning County19.8-0.5 pts
44Williams County19.8-0.6 pts
46Shelby County19.6-1.1 pts
47Washington County19.5-2.4 pts
48Henry County19.4+0.3 pts
48Licking County19.4+2 pts
50Jefferson County19.3-3.2 pts
51Champaign County19.2-1.3 pts
51Muskingum County19.2-1.5 pts
53Lucas County19-0.2 pts
53Montgomery County19+1.1 pts
55Mercer County18.9+0.9 pts
55Pickaway County18.9-2.1 pts
57Clermont County18.7-0.6 pts
57Lorain County18.70 pts
59Butler County18.6+1.4 pts
60Defiance County18.2-0.3 pts
60Morgan County18.2-6.9 pts
60Richland County18.2-4.2 pts
63Auglaize County17.9-0.1 pts
63Hamilton County17.9+1.1 pts
63Van Wert County17.9-2.2 pts
66Huron County17.8-3.1 pts
67Wayne County17.3-2.5 pts
68Medina County17+1.3 pts
69Wyandot County16.9-2.1 pts
70Cuyahoga County16.6-1.4 pts
70Lake County16.6+0.2 pts
72Geauga County16.5+1.1 pts
72Stark County16.5-3.8 pts
74Ottawa County16.4-1.2 pts
75Hancock County16.3-2.2 pts
76Miami County16.1-1.7 pts
77Knox County16-3.2 pts
77Summit County16-2.7 pts
79Portage County15.8-1.6 pts
80Putnam County15.6-1.1 pts
81Athens County15.1-2.7 pts
81Erie County15.1-3.8 pts
83Franklin County14.9-2.1 pts
84Wood County14.7-0.5 pts
85Greene County14.5-0.5 pts
86Union County14.1-1.2 pts
87Warren County13.9-0.5 pts
88Delaware County12.2+1 pts

Other periods

About this ranking

Percentage of adults who have smoked at least 100 cigarettes in their lifetime and now smoke every day or on some days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries. State and national values come from direct BRFSS estimates under adult_smoking_rate.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence (Counties in Ohio by adult cigarette smoking rate, local model estimate, 2022) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence, Counties in Ohio by adult cigarette smoking rate, local model estimate, 2022. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Counties in Ohio by adult cigarette smoking rate, local model estimate, 2022. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2022.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence, Counties in Ohio by adult cigarette smoking rate, local model estimate, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_ohio_by_2022,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence: Counties in Ohio by adult cigarette smoking rate, local model estimate, 2022}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2022. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence: Counties in Ohio by adult cigarette smoking rate, local model estimate, 2022
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-smoking-rate-county-estimate/ohio-counties?period=2022.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Ohio by adult cigarette smoking rate, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_smoking_rate_modelled","level":"province","within":"Ohio","limit":10}
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Questions

Which county has the highest adult cigarette smoking rate, local model estimate?

Vinton County, with 26% in 2022, according to the Centers for Disease Control and Prevention.

Which county has the lowest adult cigarette smoking rate, local model estimate?

Delaware County, with 12.2% in 2022.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult cigarette smoking rate, crude prevalence. Retrieved 2026-10-12.

Adult cigarette smoking rate, local model estimate: other rankings

Counties in Ohio: more rankings